Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $1,055.00 / $4,634.00	Facility		$164.32	$1,055.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $119.98 / $224.29	Professional		$67.75	$119.98	$224.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.19 / $989.00 / $1,740.52	Facility		$748.19	$989.00	$1,740.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $144.49 / $238.14	Professional		$93.54	$144.49	$238.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.35 / $807.53 / $908.00	Facility		$723.35	$807.53	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $149.82 / $247.07	Professional		$90.15	$149.82	$247.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $205.46 / $533.29	Professional		$108.92	$205.46	$533.29
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $98.22 / $176.29	Professional		$91.91	$98.22	$176.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $199.35	Professional		$32.34	$32.34	$199.35
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $189.54 / $299.61	Professional		$128.57	$189.54	$299.61